Mr. Wallace Maxwell Green
PAC | Neurology
1275 Highway 54 W, Ste.105, Fayetteville
Georgia, 30214-4549
770-719-2965 770-719-2963
Maps & DirectionsMr. Wallace Maxwell Green is a Fayetteville, Georgia based neurologist who is specialized in Neurology. Active license number of Mr. Wallace Maxwell Green is 001827 for Neurology in Georgia. His current practice location is 1275 Highway 54 W, Ste.105, Fayetteville. Patients can reach him at 770-719-2965 or can fax him at 770-719-2963. Mr. Wallace Maxwell Green is PAC in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1306979059.
Mr. Wallace Maxwell Green specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Mr. Wallace Maxwell Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Wallace Maxwell Green |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | PAC |
| Practice Address: | 1275 Highway 54 W, Ste.105, Fayetteville,
Georgia, 30214-4549 |
| Phone: | 770-719-2965 |
| Fax: | 770-719-2963 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1306979059 |
| NPI Enumeration Date: | 13 Mar, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Wallace Maxwell Green are as mentioned below.
| License Number | Specialization | State | Status | |
| 001827 | Neurology | Georgia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Wallace Maxwell Green
1275 Highway 54 W, Ste.105
Fayetteville, Georgia |
| Zip: | 30214-4549 |
| Phone Number: | 770-719-2965 |
| Fax Number: | 770-719-2963 |
Patients can reach Mr. Wallace Maxwell Green at
1275 Highway 54 W, Ste.105, Fayetteville, Georgia or can
call to book an appointment on 770-719-2965.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.